SCMS BULLETIN - Summer 2022

The

Bulletin Saginaw County Medical Society

Summer 2022 | Volume 80 | No 4

REGISTER NOW!

September Membership Meeting Adverse Childhood Experiences (ACEs) p. 5

REGISTER NOW!

Implicit Bias Training 2022 Saturday, October 8 p. 10 Foundation Golf Outing Highlights p. 16-17

20th Annual Walk for Hope (p. 8)

COVENANT HEALTHCARE

Breast High Risk Assessment and Prevention Clinic The Covenant HealthCare Breast High Risk Assessment and Prevention Clinic specializes in the care of women who are at an increased risk for developing breast cancer. Our breast surgical oncology team of experts provide specialized care and increased access to the necessary resources for reducing breast cancer risk and ensuring early detection and prevention. Your visit will include a discussion of your risk level, education on risk reduction and a specific surveillance plan recommendation that is personalized to you and your lifestyle.

The chances of a woman developing breast cancer in her lifetime is one in eight. For some women the risk of developing the disease is considered much higher.

WOMAN CONSIDERED AT HIGH RISK MAY HAVE: • • • •

Previous history of breast or ovarian cancer Family history of breast cancer Dense breast tissue requiring specialized examinations Increased ethnicity risk (Ashkenazi Jewish heritage, San Luis Valley Hispanic) • Biopsy proven atypia

SERVICES PROVIDED: • • • • • •

For more information or to determine eligibility for enrollment, call:

989.583.5195

Breast cancer risk counseling and education Genetic risk assessment Genetic testing Screening services Community outreach Affiliation with MD Anderson Cancer Network®, a program of MD Anderson Cancer Center

© 2020 Covenant HealthCare.

All rights reserved. PK 2/20 13026

The

Bulletin Saginaw County Medical Society

2022-2023 OFFICERS AND DIRECTORS President Tiffany K. Kim MD President-Elect Mark G. Greenwell MD Past President Anthony M. Zacharek MD Secretary Caroline G.M. Scott MD Treasurer Miriam T. Schteingart MD Board of Directors Christopher J. Allen MD Furhut R. Janssen DO Mary J. McKuen MD Kai Anderson MD Jennifer M. Romeu MD Elizabeth M. Marshall MD Bulletin Editor Louis L. Constan MD Retiree Representative Caroline G.M. Scott MD Resident Representatives Jessica H. Faris MD (OB) Mohammed A. Saiyed MD (FM) Yuri J. Kim MD (IM) Medical Student Representatives Ann Sobell, MD Candidate, Class of 2023 Mary Galuska MA, MD Candidate, Class of 2024 MSMS Delegates Elvira M. Dawis MD Anthony M. Zacharek MD Christopher J. Allen MD Miriam T. Schteingart MD Kala K. Ramasamy MD Jennifer M. Romeu MD Karensa L. Franklin MD Judy V. Blebea MD Elizabeth M. Marshall MD MSMS Alternate Delegates Caroline G.M. Scott MD Waheed Akbar MD Mohammad Yahya Khan MD Nicholas E. Haddad MD Mary J. McKuen MD Kai Anderson MD Claudia C. Zacharek MD Cecilia E. Kraus-Horbal DO Peer Review Ethics Committee Waheed Akbar MD, Chair Caroline G.M. Scott MD James R. Hines MD MSMS Region 7 Representative Mildred J. Willy MD MSMS President Thomas J. Veverka MD Executive Director Joan M. Cramer Administrative Assistant Keri L. Benkert MSMS Member Service Representative Heather L. Foster (517) 336-5719

contents

5 5 9

10 4 4 6 7 7 7 8 9 12 14 15 15 18 21

REGISTER NOW! September Membership Meeting ACEs – CME credit available SAVE THE DATES! Calendar of Meetings and Events for 2022-2023 National Physician Suicide Awareness Day Saturday, September 17 REGISTER NOW! FREE Implicit Bias Training Required for Licensure President’s Letter Guest Writers Welcome From the Editor Disclaimer Retirees Meet for Lunch Office Space for Sale or Lease Barb Smith SRRN Thank You Key Providers!

Free Confidential Counseling for Frontline Healthcare Workers Key Provider of the Month Healthway Compounding Pharmacy In Memory – Dr. Jason White Caduceus Meeting for Recovering Health Care Professionals Ascension St. Mary’s MSMS Resource Guide

11

GLBHC Now Accepting Adult Outpatient Psychiatry Referrals

12

SAVE THE DATE! 31st Annual Robert M. Heavenrich MD Endowed Guest Lecture

13 16-17 30

Michigan ACE Initiative SCMS Foundation Golf Outing Highlights Do You Remember?

22

MSMS Medical Records Guide Surprise Medical Billing Guide 157th Annual Scientific Meeting Grand Rounds Fall Webinars Online Learning Management System CMU College of Medicine CMU Health Notice of Retirement Covenant HealthCare THRIVE – Count the Kicks!

Thank You Advertisers!

Applications for Membership Birthdays – September Advertiser Index Key Providers Calendar of Meetings and Events for 2022-2023

24 25 26 28 28 29 30 30 32 32

The Bulletin can be viewed online at www.SaginawCountyMS.com under the Bulletin tab.

COVER PHOTO: 20TH ANNUAL WALK FOR HOPE CLOSING CEREMONIES (SEE P. 8) EDITOR Louis L. Constan, MD EXECUTIVE DIRECTOR Joan M. Cramer DESIGNER Lori Krygier

PUBLISHER Saginaw County Medical Society 350 St. Andrews Rd., Ste. 242, Saginaw, MI 48638-5988 Telephone (989) 790-3590 | Fax (989) 331-6720 Cell (989) 284-8884 | jmcramer@sbcglobal.net Hours By Appointment | SaginawCountyMS.com

All statements or comments in the Bulletin are those of the writers, and not necessarily the opinion of the Saginaw County Medical Society. Contributions are welcome. We publish committee reports, letters to the editor, Alliance reports, public health activities of the members, and some personal items (birthdays, weddings, graduations and like events).

The Editor determines which are accepted. Advertisements are accepted as space is available at our going rates. Members may advertise office information, professional services, skills, and procedures, also at our going rates. We do not accept advertisements from nonmembers, or non-Saginaw hospitals.

The Bulletin is mailed free of charge to SCMS members as part of their membership.

Complimentary copies are sent to various other parties. Others may subscribe at the rate of $50 per year.

The Bulletin | Summer 2022 3

PRESIDENT'S LETTER

Meet the New President!

Tiffany K. Kim, MD

H

ello! My name is Dr. Tiffany Kim and I am so excited I have the honor to be the Saginaw County Medical Society president this year. This year has amazing potential. Not only are we back in person for all our Society meetings, but we are continuing to combat the pandemic and move forward. I look forward to all the good things we can do for each other this year.

On a personal note, this year is a huge transition year for me. Not only getting to be the president of this remarkable Society, but I also have the privilege of taking over for Dr. Deborah Russell, as she has now retired. She has entrusted me with her practice and patients. I have known Dr. Russell for over 15 years, and was fortunate enough to have her teach me while I was in my residency, here in Saginaw.

I look forward to guiding and building our Medical Society to be stronger and bolder in this post pandemic time. Please feel free to contact me

with anything that I can do to help this awesome medical community we have in Saginaw!

“This year has amazing potential. Not only are we back in person for all our Society meetings, but we are continuing to combat the pandemic and move forward. I look forward to all the good things we can do for each other this year ."

GUEST WRITERS WELCOME! If you would like to write an article of interest to your colleagues for publication in a future issue of The Bulletin, please contact Joan Cramer at jmcramer@sbcglobal.net for further information.

Articles are not designed for self-promotion, but rather as information for members.

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The Bulletin | Summer 2022

Read previous issues of The Bulletin at www.SaginawCountyMS.com under the Bulletin tab

CALENDAR OF MEETINGS AND EVENTS FOR 2022-23* REGISTER NOW FOR THE SEPTEMBER MEETING! Tuesday, September 20, 2022 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Membership Meeting Joint with the Saginaw Valley Osteopathic Society - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Speaker - Alison Arnold, Ed.D., Director, Interdisciplinary Center for Community Health & Wellness, Central Michigan University “Revisiting ACEs: The Roots of Wellness and Building Our Inner and Collective Resilience” Approved for 1.5 AMA PRA Category 1 CreditsTM Learning Objectives: • Review the discoveries of the Adverse Childhood Experiences study and the significant life-long health impacts of early trauma and toxic stress • Understand why children exposed to ACEs are at elevated risk for chronic disease and risky behavior • Increase awareness of trauma-responsive practice and the ripple effects of secondary traumatic stress • Develop strategies to respond to children who present with trauma symptoms • Increase awareness of statewide resources, including the Prevention of ACEs Data to Action Project and the Michigan ACEs Initiative Email meeting notices will be sent in early September.

Online reservations are required.

CLICK HERE TO MAKE A RESERVATION Or scan the QR Code Accreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Central Michigan University College of Medicine and the Saginaw County Medical Society. CMU College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Central Michigan University College of Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure: The planners and speaker have no relevant financial relationships with ineligible companies to disclose.

Saturday, October 8, 2022 – Horizons Conference Center, 6200 State Street, Saginaw CMU CME presents “Implicit Bias Training” (required for licensure) Time: 8-11 a.m.

3 AMA PRA Category 1 CreditsTM Available Click HERE to register and for more information, disclosures and accreditation (see page10 in this issue for more information).

Tuesday, October 18, 2022 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Membership Meeting - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Program - Candidates’ Forum for the November election Email meeting notices will be sent in early October.

Online reservations are required. *subject to change

rev 8/3/22

Tuesday, November 15, 2022 - CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting - 5:30 p.m.

There is no Membership Meeting in November.

There is no Board or Membership Meeting in December.

Tuesday, January 17, 2023 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Membership Meeting Joint with the Saginaw County Dental Society - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Speaker - TBD Topic - TBD Email meeting notices will be sent in early January.

Online reservations are required.

Tuesday, February 21, 2023 - CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting - 5:30 p.m.

There is no Membership Meeting in February.

SCMS Health Fair “The Doctor Is In!” Horizons Conference Center Date TBD Tuesday, March 21, 2023 - CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting - 5:30 p.m.

There is no Membership Meeting in March.

Tuesday, April 18, 2023 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Membership Meeting - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Speaker - TBD Topic - TBD Email meeting notices will be sent in early April.

Online reservations are required.

Saturday-Sunday, April 22-23, 2023 - The Henry in Dearborn (tentative) 158th Annual MSMS House of Delegates Tuesday, May 16, 2023 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Annual SCMS and SCMS Foundation Membership Meetings - Social (cash bar) at 6:30 p.m., followed by dinner, meetings and program at 7 p.m.

Email meeting notices will be sent in early May. Online reservations are required.

12th Annual SCMS Foundation Golf Outing – date TBD

The Bulletin | Summer 2022 5

FROM THE EDITOR

Lies and Liars

By Louis L. Constan, MD

S

he was a lovely patient, always courteous, always on time for appointments, always a smile on her face; in spite of her many, many medical problems over the two decades I treated her. I did not notice, over those years, just how many prescriptions I was writing for home medical equipment, the expensive items you get at medical supply stores. Towards the end of her life one of her children asked me, innocently, why her house was stuffed, every room, with wheelchairs, walkers, respiratory equipment, sleep apnea paraphernalia, pharmaceutical company pens and notepads…all unused and in their original packaging.

How I could have misread this lady so completely has long been a puzzle to me…but not to one Malcolm Gladwell, author of the best-selling book, Talking to Strangers. Mr. Gladwell believes, along with the psychologists he cites, that humans are terrible at ‘reading’ other humans; we are flatly incapable of uncovering even the most casual lies; much less the serious lies committed by, for instance, a patient determined to defraud her insurance company and make me an unwitting accomplice.

He gives many examples of liars fooling others who should know better - defendants fooling judges, double agents fooling the CIA, financial advisors defrauding hard-nosed Wall Street veterans out of billions of dollars. But, don’t worry, he surprisingly says, this is natural. Humans are genetically

programmed to assume those around them are truthful, as most are…and the presumption of truth-telling helps us all get along. So, he would say to me, don’t worry a bit about your lapse in the case above, you’re only being human.

I do not accept this, of course. For one, doctors are not ‘mere’ humans.

We are blessed with powerful tools to corroborate the truthfulness of information given by patients (the “subjective data” we always assume to be of questionable reliability); we have that objective data from our well-honed powers of observation, from the physical exam, from lab, and from imaging. I don’t believe we get it wrong very often.

Ready examples are how we handle (always with some skepticism) what patients tell us about their alcohol consumption, their sexual practices, and any prior illnesses that affect insurance eligibility. A healthy wariness around certain topics is second nature for doctors; we do it without thinking…and I believe rarely get fooled by patients, my experience above being the exception that proves the rule.

Unfortunately, though, the world has changed of late; and some of the advantages we have enjoyed vis-à-vis our patients may no longer apply: • We have depended, for instance, on the intimate setting in which we provide health care. Quiet room; just doctor and gowned patient eye-to-eye. Their secrets have literally nowhere to hide. Today?

Others are present. Medical student, nurse chaperone, scribe. Who wants to confess to something embarrassing with an audience present?

• We always assume that the patients need and want us to form an accurate diagnosis and they will be straightforward in giving us the information we need to do so. Not so much anymore. Patients often, before even seeing us, have settled on their own diagnosis, having ‘consulted’ other sources such as Google, and they come to us only because they need something that only a licensed doctor can provide - a script, a test, a referral to a medical center. They tell us what they think we need to hear so we will give them what they want.

• We assume that patients depend on us for their care; so why would they risk alienating us by lying to us? Unfortunately not so true anymore. Patients today accumulate multiple ‘providers,’ many nontraditional; and they pick-and-choose who they see on a whim. If we detect their lie, they really do not care.

They’ll simply go elsewhere.

• We depend on that confirmatory test.

Think an MRI, for instance, but what do we do when the insurance company does not allow it?

continued on page 7

A healthy wariness around certain topics is second nature for doctors; we do it without thinking…and I believe rarely get fooled by patients…

6

The Bulletin | Summer 2022

continued from page 6

• The HPI, a chance to evaluate the patient personally, is no longer done by us. It’s done by a mid-level or other assistant.

Or it’s “in the EMR.” Who knows who put it in there? A stressed-out ER doctor; a “temp” doctor working in an Urgent Care; anybody really. Is it reliable? Who knows? But it’s there. It becomes all-too-easy to assume that it’s reliable information.

Given all this, it seems to me essential, now more than ever, for doctors to reconsider their approach to detecting truthfulness vs. lies with their patients. I, of course, have a few ideas on how we may do this, but you’ll have to wait until next month.

If you find it difficult to communicate with your doctor; if you find it hard to get personal attention from an 'impersonal healthcare industry'; if you don't understand all those insurance-company rules; if you don't know how to change your bad health habits; if you think you may be on unnecessary medications; if you are perplexed by those annoying health-product advertisements; and if you'd like to know which are your greatest health risks - you'll appreciate this Family Doctor's advice, gleaned from 44 years of practice.

Each chapter is illustrated with real-life examples from his and other doctors' practices. Each chapter ends with 'bonus' essays written by the author and published in newspapers and magazines giving the doctor's viewpoint. This will give you a unique perspective and allow you to 'get into the mind' of a doctor. Sweet!

Available on Kindle (different cover but same book) and paperback.

Available on Amazon by clicking HERE

RETIREES MEET FOR LUNCH!

1

Retired physicians meet for lunch every Wednesday at 12 noon at IHOP, 2255 Tittabawassee Road in Saginaw. Those attending are responsible for their own lunch, and the informal gathering lasts about an hour.

Join your retired colleagues whenever you like!

THE GROUP ALWAYS MEETS IN THE BACK ROOM. If you are told no one from the group is there, please go directly to the back room and check for yourself!

If you have questions, please contact Joan Cramer at (989) 284-8884 or Dr. Caroline Scott at (989) 295-2721.

All statements or comments in The Bulletin are those of the writer, and not necessarily the opinion of the Saginaw County Medical Society (SCMS).

The Bulletin is made available electronically for members as an informational service. Reliance on any such information is at the user's own judgment.

The SCMS, its officers and employees, cannot guarantee the accuracy, reliability, completeness or timeliness of any information, and may not be held liable for any individual’s reliance on our web or print publications. For questions or the latest information, please contact Joan Cramer of the SCMS at (989) 284-8884 or jmcramer@sbcglobal.net.

OFFICE SPACE FOR SALE OR LEASE Medical Arts Building I 4705 Towne Centre Road, Suite 204 Saginaw, Michigan 48604 2,450 square feet Call for details (989) 284-2659 The Bulletin | Summer 2022 7

Thanks to our generous Walk for Hope sponsors Closing Ceremonies ($20,000) The Dorr Family – In Loving Memory of Matthew Dorr Mission: To prevent suicide through education, connection to resources, and support for those impacted by suicide.

WALK FOR HOPE 2022

The 20th Annual Walk for Hope…Depression and Suicide Awareness Event was held on Sunday, August 7th at Saginaw Valley State University. More than 1,100 participated in the Walk, which featured over 25 resource/activity booths, raffles and live music. At the closing ceremony, 20 doves signifying the 20th anniversary were released by Walk participants.

The featured speaker was Eric Hipple, former NFL quarterback whose 10 year career from 1980-89 was spent with the Detroit Lions.

Since his 15-year-old son Jeff’s suicide, Hipple has devoted his life to building awareness and breaking down the stigma surrounding depressive illnesses. His book “Real Men Do Cry” received a publisher Presidential Award.

Eric is currently working to provide mental health awareness serving the public with an emphasis on military veterans, youth and employees in the workplace. Eric's commitment to helping others find a quality in life is demonstrated through work with nonprofit foundations and their missions.

Thanks to generous sponsors, it is estimated over $100,000 was raised, and all profits from the Walk support Barb Smith SRRN’s mission to prevent suicide through education and resources, and to support those impacted by suicide. The Network offers suicide prevention and aftercare trainings for the community to help create a safety network using multi-tiered trainings. The Network continues to care for those who have been impacted by suicide and those with lived experience. They connect persons struggling with suicidal thoughts or those impacted by suicide with organizations throughout the community.

Together, we can create suicide-safer communities.

Diamond ($5,000+) The Iles Schropp Group Platinum ($2,500) Covenant HealthCare Disability Network of Mid-Michigan Messiah Church Sacred Bundle Project from AIHFS SVSU Gold ($1,000) Bayne’s Apple Valley Bierlein Companies, Inc. Brandle Roofing CMU Health Behavioral Medicine Duro-Last Roofing, Inc. Fullerton Tool Company Glastender, Inc. Hamilton Electric Company HealthSource Saginaw Hughes Robinson Financial Kevin’s Song List Psychological Services MyMichigan Health NAMI Michigan Saginaw County Medical Society Saginaw County Medical Society Foundation Saginaw Psychological Services Team One Credit Union The Saginaw Chippewa Indian Tribe West Midland Family Center Zero Suicide Project from AIHFS

The National Suicide Prevention Lifeline is now 988 Suicide & Crisis Lifeline 988 has been designated as the new three-digit dialing code that will route callers to the new Suicide & Crisis Lifeline. The old Suicide Prevention Lifeline phone number (1-800-273-8255) will remain available to people in emotional distress or suicidal crisis, even after 988 was launched nationally.

The Lifeline’s network of over 200 crisis centers has been in operation since 2005, and has been proven to be effective.

It’s the counselors at these local crisis centers who answer the contacts the Lifeline receives every day. Numerous studies have shown that callers feel less suicidal, less depressed, less overwhelmed and more hopeful after speaking with a Lifeline counselor.

continued on page 9

8

The Bulletin | Summer 2022

continued from page 8

New Location for Support Group!

Our Survivors of Suicide support group has changed locations. We meet on the first and third Tuesday of the month from 6:30-8 p.m. in Saginaw. If you or someone you know has been impacted by suicide, call us at (989) 781-5260 ext. 2 to learn more about our support group.

Are you in a crisis? Call 988 or text TALK to 741741.

Anyone who needs help can call the Suicide & Crisis Lifeline 24 hours a day, seven days a week, at 988. Press 1 for the Veterans Crisis Line. Anyone under age 21 can ask to talk to a peer at Teen Link, 1-866-833-6546. TTY users can use their preferred relay services or dial 711 then 1-800-273-8255.

Thank You Key Providers!

The SCMS would like to thank our dedicated Key Providers, old and new, for continuing to provide support for SCMS Membership Meetings.

When you have a need for a service, please consider our Key Providers!

National Physician Suicide Awareness Day Shine a Light. Speak its name.

Saturday, September 17, 2022 “Our goal, not to lose one.” - Thomas J. Nasca, MD MACP The Council of Residency Directors in Emergency Medicine (CORD), in collaboration with ACEP, AAEM, ACOEP, EMRA, RSA, RSO and SAEM have come together to annually dedicate September 17th as National Physician Suicide Awareness (NPSA) Day.

Vision Zero

Physician suicide is a tremendous issue in healthcare today. While estimates of the actual number of physician suicides vary, literature has shown that the relative risk for suicide being 2.27 times greater among women and 1.41 times higher among men versus the general population. Each physician suicide is a devastating loss affecting everyone - family, friends, colleagues and up to 1 million patients per year.

It is both a very personal loss and a public health crisis.

Vision Zero calls on individuals, residency programs, health care organizations and national groups to make a commitment to break down stigma, increase awareness, open the conversation, decrease the fear of consequences, reach out to colleagues, recognize warning signs and learn to approach our colleagues who may be at risk. Let us challenge each other as individuals, communities, institutions and organizations to make changes to reach zero physician suicides.

Learn More: • Physician & Resident Curriculum • Suicide Postvention During Residency Resources • Podcasts & Videos • Blogs & Additional Resources The Bulletin | Summer 2022 9

Implicit Bias Training 2022 Saturday, October 8, 8:00 - 11:00 am Breakfast at 7:30 am

Horizons Conference Center, 6200 State Street, Saginaw, MI Funded by a grant from the Saginaw Community Foundation

Defining, understanding and applying practical strategies to improve provider interactions and client care. Introduce the many aspects of diversity and how identity develops. Explore the process of socialization and the development of values shaped by our interaction with the world around us.

Meets all of the State of Michigan's Implicit Bias training requirements.

Speakers: Sheri Pickover, Ph.D., LPC, BC-TMH Professor of Counseling and Special Education Department of Counseling, Educational Leadership, & Higher Education (CEH) Central Michigan University Allison Arnekrans, Ph.D. Associate Professor of Counseling Department of Counseling, Educational Leadership, & Higher Education (CEH) Practicum & Internship Coordinator, Mu Kappa Chapter of Chi Sigma Iota, Chapter Faculty Advisor, Central Michigan University Deborah L. Virant-Young, Pharm. D., BCPS Assistant Professor Department of Pharmacology Toxicology Systems Biology Faculty Director of Faculty Development Statewide Campus System Michigan State University College of Osteopathic Medicine

REGISTRATION:

10 The Bulletin | Summer 2022

Target Audience

All Healthcare Professionals

Objectives

At the end of this presentation, you will be able to: • Define implicit bias in the context of equitable access to healthcare • Understand best practices in serving diverse populations • Implement diversity and inclusion initiatives • Identify and describe cultural sensitivity in clinical practice • Describe, in depth, their own social identities • Discuss how implicit biases impact human behavior • Recognize personal biases and be able to interrupt and counteract them

Disclosure

Speakers and planners have no relevant financial relationships with ineligible companies.

Accreditation

Central Michigan University College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Central Michigan University College of Medicine designates this live activity for a maximum of 3.00 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Central Michigan Social Work Program, an accredited social work education program, is authorized by the Michigan Licensure Law Administrative Rule 33.2965 to award Michigan social work continuing education credit contact hours. For this program, 3.0 CE hours will be awarded.

https://bit.ly/3Ipk49J

or use the QR code

CMU, an AA/EO institution, strongly and actively strives to increase diversity and provide equal opportunity for all individuals, irrespective of gender identity or sexual orientation and including but not limited to minorities, females, veterans and individuals with disabilities.

Course Description

Now accepting referrals!

Adult Outpatient Psychiatry Medicaid welcome!

GLBHC priority is to serve the underserved, uninsured, and underinsured. We offer transportation along with multiple other integrated services to address your patients’ needs like dental, laboratory and on-site pharmacy, and community health workers to address social disparities. This is our priority population and we do well serving them!

Who: Adults with mild to moderate mental health conditions What: Outpatient psychiatry services When: Now! Where: Davenport Location

3023 Davenport Ave Saginaw, MI 48602

Bay City South Location 690 S Trumbull St Bay City, 48708

How: To learn more about our new referral process, please

contact Amra Bader, Behavioral Health Supervisor at (989) 9072765 or abader@glbhealth.org

Of Special Note: GLBHC is not a crisis intervention program. If patient is currently suicidal/homicidal/danger to self or others, please seek emergency intervention for them by contacting your local Community Mental Health or sending to the Emergency Room *Saginaw Community Health Mental Health Authority (800) 233-0022 *Bay Arenac Behavioral Health (800) 327-4693

The Bulletin | Summer 2022 11

SAVE THE DATE!

31st Annual Robert M. Heavenrich, MD Endowed Guest Lecture Thursday, October 20, 2022 Victoria Fitton, PhD, LMSW Retired, Clinical Associate Professor Michigan State University School of Social Work Dr. Fitton will present at our PEDIATRIC GRAND ROUNDS from 8-9 a.m. at the Sparrow Hospital Auditorium • Topic: “Protective and Risks Factors of Mother-Child Attachment in the Treatment of Complex Childhood Trauma” Dr. Fitton will also present an EVENING LECTURE from 6-8:30 p.m. at Horizons Conference Center, Saginaw • Topic: “Complicating Family Factors in Medical Trauma: A Case Study”

A new service to support and assist frontline healthcare workers with behavioral health services is now available from the Saginaw County Community Mental Health Authority.

Free Confidential Counseling for Frontline Healthcare Workers Free, confidential counseling services are available for healthcare professionals and their immediate family to provide help coping with the stress and anxiety due to the COVID-19 pandemic.

Professional counselors provide primary care screening, assessment and monitoring of key health indicators.

These services are available to those that need extra help coping during this extremely stressful time.

There is no shame in talking, in person or virtually, with someone.

Call the Saginaw Community Care HUB at

989.498.2266

for an immediate appointment

We are very happy to welcome Dr. Victoria Fitton!

Victoria A. Fitton, PhD, LMSW, is a retired Clinical Associate Professor for the Michigan State University School of Social Work. She taught Master of Social Work practice courses in a variety of formats: Face-to-face, hybrid and online. She continues to teach for the Continuing Education Department on a wide variety of clinical issues.

She held the Ruth Koehler Endowed Clinical Professorship in Children Services and was the MSW Program Director.

Dr. Fitton is a clinical social worker, expressive therapist, clinical supervisor, and consultant with a specialization in complex trauma including childhood sexual abuse with complicating factors. She has specialized training in attachment, child development, adolescents and technology, psychoanalytic psychotherapy, play therapy, sand play therapy and neurobiology. Dr. Fitton is a frequent invited speaker and presenter on multiple clinical topics that cross the lifespan. She has published several articles and a book chapter in the areas of attachment and child development. Her current work focuses on neurobiology and trauma. Her greatest loves are teaching and private clinical practice.

On a personal note, Dr. Fitton is a wife, mother and grandmother. She travels extensively across the globe and reads voraciously.

Questions? Contact Liz Stanton, CHRS, CWI&D Email stanto52@msu.edu | Phone (517) 355-3308 Cell Phone (517) 290-5788

Creating a

safety network for our

community Our goal is to save lives through prevention, intervention, and aftercare.

Our Network trains individuals in evidence-based suicide prevention with the hope of destigmatizing suicide, increasing help-seeking behaviors, and caring for those impacted by suicide.

To request trainings or resources, contact info@srrn.net I www.srrn.net I 989.781.5260

The Michigan ACE Initiative is focused on raising awareness about Adverse Childhood Experiences and developing trauma-informed, healing organizations and communities across the state.

Register now! Alison Arnold, Ed.D., Director, Interdisciplinary Center for Community Health & Wellness at Central Michigan University, will present a program on ACEs at the SCMS September Membership Meeting. See page 5 for more information.

For more than 20 years, public health experts have been aware of a critical factor that can put a child at a disadvantage in life: Adverse Childhood Experiences (ACEs). There are ten key ACEs related to episodes of abuse, neglect, and family dysfunction, such as divorce, incarceration and substance abuse. Unmitigated toxic stress from this type of adversity results in harmful effects on children, compromising their brain and immune system development, as well as, cognitive functioning, which affects critical thinking.

Studies have found a correlation between the number of ACEs a person has (an ACEs load) and adult health conditions, such as alcoholism, depression, asthma, chronic obstructive pulmonary disease (COPD), cancer, cardiovascular disease and diabetes. Additionally, adults with high ACEs loads are more likely than others to cope in unhealthy ways, such as using tobacco, abusing alcohol or engaging in self-harm.

The higher a person’s ACEs load, the greater the likelihood of these outcomes. The impact of high ACEs loads are seen in our schools, the juvenile justice system, correctional statistics and job performance data.

The current priorities of the Michigan ACE Initiative include: • Expand ACE awareness to accelerate research, educate the public and lawmakers, and ultimately reduce and prevent ACEs in Michigan.

• Provide training and technical assistance across sectors and populations to raise awareness; identify, understand, and respond to ACEs; and build resilience in individuals, organizations and communities.

• Pursue ACE-aware, trauma-informed policies in the public and private sectors. The Michigan ACE Initiative has built awareness, introduced community leaders and infrastructure to the core concepts of the study, and built on the support coming from the health and human services sector. Now we are faced with taking that science, the groundswell of interest and the momentum created, and implementing programs across our state that can help to develop trauma informed, healing communities, and begin moving to prevention.

For the complete July 2020 Impact Report highlighting the accomplishments of the Michigan ACE Initiative, click here.

There’s no one approach or one size fits all application that’s going to work. But we can encourage organizations and institutions to examine their existing infrastructure and find creative ways to adapt what they already have to get the job done. The potential of the ACE Study is real. Making the transition to a more healing society will yield tangible results, but only if we can help make it happen across all of our communities, no matter how different they are. It’s ambitious, and Michigan is the first place to try to do it statewide. What happens in Michigan will be a roadmap for the rest of the country.

The Bulletin | Summer 2022 13

Customized Medications Bio-Identical Hormone Replacement for Men and Women

Proud to be a Key Provider to the SCMS for Eight Consecutive Years!

In 2007, we were the first compounding pharmacy in Michigan to become PCAB accredited.

Topical Medications Pain Medications Sugar-Free & Dye-Free Medications Liquid Solutions Discontinued Medications

Now, we are honored to have the distinction of being the first compounding pharmacy in Michigan to become PCAB accredited under the new standards set forth by the Accreditation Commission for Healthcare.

Healthway Compounding Pharmacy celebrating 35 years of

Better Solutions. Better Care.

2544 McLeod Dr. N. | Saginaw, MI. 48604 Ph. 989.791.1691 | Fax 989.791.4603 healthwayrx.com 14 The Bulletin | Summer 2022

IN MEMORY Jason M. White, MD Jason M. White, MD, age 68, of Midland, died at home early Sunday morning, July 10, 2022. The only child of the late Finley Eugene and Patricia Jean (Hastings) White, Jason was born on March 15, 1954. He was proud to grow up in Clawson, Michigan, and graduated from Clawson High School in 1972. He continued his education at the University of Detroit and went on to attend University of Michigan Medical School. Jason served his residency at Henry Ford Hospital in Detroit and was an emergency room physician for 38 years at St. Mary’s Hospital in Saginaw. He was also a clinical assistant professor at Central Michigan University College of Medicine, and enjoyed mentoring residents. He loved serving people, his patients and his family. On July 24, 1987, he married the former Carol Ann Moore and began what he called his “true love story.” In his spare time, he enjoyed biking, golfing, boating, nature, and watching sports, especially all of the Detroit teams. He was a compassionate person who changed the trajectory of many people’s lives.

Left to cherish his memory is his wife, Carol; children Christopher (Whitni) White, Brittany (Jason) Briant,

Ken White, Allison White, and special friend Nate Miller; grandchildren Olivia, Finn, Rosalyn, Easton and Cassius; and many colleagues and close friends.

Those planning an expression of sympathy may wish to consider a donation to the Karmanos Cancer Institute at McLaren Bay Region, 3140 W. Campus Drive, Bay City, MI 48706.

Caduceus Meeting for Recovering Health Care Professionals Third Thursday of each month at 7 p.m.

Zion Lutheran Church 545 7th Street, Freeland, Michigan (Behind Pat’s Grocery Store on Midland Road in Freeland)

Caduceus meetings are available to health care industry professionals, and have adopted many of the principles of 12-Step programs.

Caduceus meetings are “closed” meetings for recovering health care professionals including, but not limited to, nurses, doctors, dentists and pharmacists.

We engage in group discussions where members may want to speak up, ask questions or share thoughts with fellow members.

The Bulletin | Summer 2022 15

SCMS Foundation Golf Outing Highlights

T

he SCMS Foundation held its 11th Annual Golf Outing at the Saginaw Country Club on Saturday, June 4, 2022. Over $13,000 was raised to support Foundation medical student loans, and scholarships and grants to medical students, residents and nursing students.

Over $226,000 has been raised from the annual Golf Outing that was started by past Foundation President and Trustee, Dr. Rao Gudipati. Proceeds from this event are used for the above endeavors and to help assure the future of medicine in Saginaw County.

Dr. Steve Vance, SCMS Foundation Trustee, addressed the golfers during the Awards Reception. Dr. Vance thanked Dean Kikano and CMU College of Medicine and CMU Health for joining as the Title Sponsor again this year. He also thanked Covenant Medical Group for being an Event Sponsor, and all of the sponsors, large and small, because we can’t do this without them!

Longest Drive Women #18 – Dr. Lioudmila Kinachtchouk; and Putting Contest – Eric Spielhaupter. The winners of the Hit the Green and 50/50 drawings donated their winnings back to the Foundation.

The SCMS Foundation would like to thank the following sponsors for making this year’s event a success:

• The Foundation currently has $207,000 in outstanding loans • To date, $30,000 in loans have been forgiven • Four physicians with $60,000 in loans are in the forgiveness process o Two of those physicians serve on the SCMS Board • It is estimated $110,000 will be forgiven in the next seven to 10 years for loan recipients returning to Saginaw to practice • CMU students and residents were the recipients of $90,000 of the loans

Putting Contest Sponsor

The goal of Foundation loans is to bring medical students back to Saginaw to practice, and that is now being accomplished!

Dr. Elizabeth Marshall, one of the physicians in the loan forgiveness program, member of the SCMS Board and a family physician with Ascension, spoke about how her Foundation loan was a factor in returning to her hometown to practice.

Dr. Vance thanked Dr. Gudipati for his wisdom in starting the golf outing in 2010 in an effort to grow Foundation assets and allow us to increase our support of medical students and residents. He also thanked Keri Benkert, Melissa Morse, Dr. Tiffany Kim who is the newly elected SCMS President, and Joan Cramer, Executive Director, for working the golf outing.

The team of Jeff Wood, Cory Schultz, Scott LaDouce and Sean LaDouce and the team of Dr. Ryan Kim, Dr. Ron Bays, Rich Korbein and Nick Seliskar tied for first place with a score of 59. Other winners were Closest to the Pin Men #13 – Ken Kisser; Closest to the Pin Women #4 – Dr. Lisa Spielhaupter; Longest Drive Men #1 – Ken Kisser;

Drs. Rao and Su Gudipati Norton+Kidd Accounting & Consulting Dr. Millie Willy

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Title Sponsor Event Sponsor

Golf Ball Sponsor Mid Michigan Vascular Surgery, PC *Courtesy of Drs. Ron Bays and Ryan Kim

Award Reception Sponsor Garber Automotive Hantz GroupSM | Ryan Neil

Beverage Sponsors Drs. Chris and Labrini Liakonis Medicine for Ukraine *Courtesy of the Kinachtchouk Family Wise Weight Management *Courtesy of Dr. Dafina Allen

Lunch Sponsors

Closest to the Pin Sponsor Dr. Tom Damuth

Longest Drive Sponsors Ascension Medical Group Nate Wilson | Wilson Realty, Inc.

Tee/Hole Sponsors Andersen Eye Associates Dr. Lowell Butman Dr. Tiffany Kim, OB/GYN Nouvel Catholic Central *Courtesy of Dr. Liz Marshall Pain Consultants of Michigan In Memory of Dr. Gerard Scott *Courtesy of Dr. Caroline Scott

Team Sponsors

SCMS Foundation Board Members

Advanced Radiology Services CMU College of Medicine | CMU Health Covenant Medical Group Dr. Rao Gudipati Hantz GroupSM | Ryan Neil Healthway Compounding Pharmacy Drs. Chris and Labrini Liakonis Medicine for Ukraine *Courtesy of the Kinachtchouk Family Merrill Lynch The Provenzano-Bade-Rand Group *Courtesy of Jeff Wood Mid Michigan Vascular Surgery, PC *Courtesy of Drs. Ron Bays and Ryan Kim Norton+Kidd Accounting & Consulting Dr. Sunil Pandit Dr. Raghu Sarvepalli SoundASleep Sleep Diagnostics Lab Valley Infectious Disease, PC *Courtesy of Dr. Su Gudipati

Thomas E. Damuth, MD - President Iris A. Marteja, MD - Vice President/Secretary Matthew D. Deibel, MD - Treasurer George J. Gugino, MD - Trustee Christopher J. Allen, MD - Trustee Sarosh Anwar, MD - Trustee John Blebea, MD - Trustee James A. Fugazzi, MD - Trustee Steven J. Vance, MD - Trustee

The SCMS Foundation would like to give special thanks to the Head Golf Professional at the Saginaw Country Club, Chad L. Boyce PGA; Golf Shop Manager, Amy Dreffs; and Sherry Charbonneau for all their help arranging and planning the golf outing.

The Bulletin | Summer 2022 17

Dr. Stephanie Duggan Named Regional President and CEO of Ascension Michigan’s Mid and Northern Health Ministries Stephanie J. Duggan, MD, FACEP, FAAPL, CPE, has been named regional president and chief executive officer for Ascension Michigan, leading health ministries in Mid and Northern Michigan including Ascension St. Mary’s Hospital in Saginaw, Ascension Standish Hospital in Standish, Ascension St. Joseph Hospital in Tawas City, and Ascension Genesys Hospital in Grand Blanc.

Dr. Duggan has been serving as president and CEO of Ascension Michigan’s three northernmost hospitals since August 2018 when she returned to her home state of Michigan following the announcement of Ascension’s $50 million investment to grow the health ministry. She assumed leadership of Ascension Genesys Hospital with the retirement of Christopher Palazzolo, who served as president and CEO of the Grand Blanc hospital for 18 years. Palazzolo’s healthcare career spanned more than 40 years of dedicated service.

A board-certified emergency medicine physician, Dr. Duggan began her career at Ascension St. Mary’s Hospital in Saginaw in 1997. Prior to returning to Michigan in 2018, she served as chief clinical officer at Ascension St. Vincent’s Hospital in Birmingham, Alabama. Before that, she held various leadership positions at Ascension Sacred Heart Hospital in Pensacola, Florida, including chief medical officer, interim pharmacy medical director and interim emergency department director.

“Based on her outstanding credentials, her experience within Ascension, her commitment to our Mission, and her knowledge of the Mid and Northern Michigan communities, Dr. Duggan is an excellent choice to lead these hospitals and care sites for continued growth and excellence in care,” said Joseph Hurshe, FACHE, Chief Operating Officer, Ascension Michigan. “She is a vibrant, quality-driven servant leader who easily connects with associates, physicians and the communities we are privileged to serve. Her commitment to collaboration and her belief in making a long-lasting difference in the communities we care for will help Ascension Michigan continue as a leading Catholic healthcare provider well into the future.”

Since 2018, Dr. Duggan has been instrumental in leading multiple teams toward the completion of capital investments in facility renovations and upgrades, patient care enhancements, new technology and the recent expansion of the emergency care center at Ascension St. Mary’s Hospital.

In 2021, Ascension announced an additional $125 million in operational capital to continue their investment in the Northern Michigan facilities, patient care and services.

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The Bulletin | Summer 2022

Dr. Duggan earned her medical degree and completed her residency at Wayne State University. She has received numerous awards and recognitions during her career and served on many national, state and local boards. She was recently named chair of the board of directors of the American Association of Physician Leaders. Dr. Duggan served as vice chair and is now chair of the Michigan Health and Hospital Association Legislative Policy Panel. She also serves as a board member for Saginaw County Board of Public Health.

Shane Hunt Named Vice President of Nursing Shane Hunt, RN, BBA, MSA, has been selected to serve as Vice President of Nursing for Ascension St. Mary’s Hospital. Shane had been serving as interim VP of Nursing since March 7, 2022, while also continuing his role as administrator at Ascension St. Joseph Hospital. Shane’s transition to the VP of Nursing role was effective June 26. He will provide leadership to our nursing teams at Ascension St. Mary’s Hospital, Ascension Standish Hospital, and Ascension St. Joseph Hospital and further unify us in providing compassionate care to all people we are privileged to serve.

Shane is a highly respected leader with more than 30 years of experience in healthcare and hospital operations. Prior to serving as administrator at Ascension St. Joseph Hospital, Shane held various leadership positions at Ascension St. Mary’s Hospital and Towne Centre Ambulatory Care and Emergency Care Center. He began his career at Ascension St. Mary’s Hospital as a nurse manager for the emergency department and through the years, assumed roles as emergency department director, hospital operations manager and director of emergency and trauma services. In addition, he was the chief flight nurse for FlightCare, the air ambulance service affiliated with Ascension St. Mary’s Hospital. Shane will work closely with Renee Emmerling, Regional Chief Nursing Officer for the Ascension Michigan Mid/North region.

Rose Goick Saddler, RN, BS, MSN, NHA, will serve as interim administrator for Ascension St. Joseph Hospital while continuing as administrator at Ascension Standish Hospital. An esteemed leader with over 40 years of experience in serving rural communities, Rose will guide both hospitals in support of our Mission, Vision and Values while providing direction towards continued strategic growth and success.

Ascension St. Mary’s Hospital Leading the Way as an Early Adopter of Robotic Assisted Technology for Future Stroke Care Ascension St. Mary’s Hospital has begun to use state-of-theart robotic technology, the Corindus CorPath GRX robot, that continued on page 20

Ascension investment in Northern Michigan hospitals continues Ensuring care to communities for years to come More than $175 million of investment for Ascension St. Mary’s Hospital, Ascension Standish Hospital and Ascension St. Joseph Hospital In August 2021, Ascension announced a $37.7 million commitment for six prioritized projects across Ascension Michigan's northern healthcare ministries.

In September 2021, Ascension committed an additional $87.7 million in operational capital to continue their investment in northern Michigan facilities, patient care and services.

These capital operating fund investments are evidence of Ascension's continued commitment to the growth and success of the northern Michigan healthcare ministries - a commitment that began with an initial investment announcement of $50 million in May 2018.

Combined, this equates to more than $175 million of investment for Ascension St. Mary’s Hospital, Ascension Standish Hospital and Ascension St. Joseph Hospital.

The $87.7 million investment will support the renovation and expansion of intensive care patient rooms, and create private patient rooms throughout Ascension St. Mary’s Hospital.

These investments are possible thanks to the dedication and commitment of our associates, doctors and hospital leaders who work tirelessly each and every day to provide compassionate, personalized care.

Ascension Michigan | ascension.org

About Ascension’s investments Projects supported by the $37.7 million investment include upgrades to cardiac catheterization and electrophysiology labs; replacement of two linear accelerators for radiation oncology services in Marlette and West Branch; and relocation and expansion of the obstetrics unit at Ascension St. Joseph Hospital. A new Emergency Department waiting room; medical office building for primary and specialty care doctor offices; and laboratory and rehabilitation services at Ascension Standish Hospital are also included.

The initial $50 million investment supported facility renovations and upgrades; advanced imaging technology; and patient care enhancements. With nearly $18 million dedicated to the new expansion and renovation of the emergency care center at Ascension St. Mary’s Hospital in Saginaw.

© Ascension 2022. All rights reserved. 26010 (1/3/22)

continued from page 18

could lead to potentially life-saving remote stroke treatment in rural communities in future years. Cerebrovascular and endovascular neurosurgeon, Joseph G. Adel, MD, FAANS, recently began using the robotic system at the Saginaw hospital. Ascension St. Mary’s Hospital is one of only two hospitals in the state utilizing this advanced vascular robotic technology.

“Being an early adopter of this robotic-assisted technology will prepare us to provide advanced neuro-interventional care to patients across our region,” said Dr. Adel. “The enhanced visualization of the x-ray images, combined with the robotic precision and automated movements, will transform the way we perform vascular procedures and ultimately improve patient care. In addition, the capability this technology offers for stroke intervention, especially in remote communities, is tremendous as time is brain. The sooner a stroke can be diagnosed and treated, the better the outcome for the patient.”

The robotic-assisted system is currently FDA-approved for use with catheters, wires, balloons and stents during nonsurgical coronary and vascular procedures to open artery blockages and help improve blood flow. Seated in a radiationprotected cockpit, the physician uses a joystick to robotically advance the catheter millimeter by millimeter through the artery. The same could be true for future neuro-interventional procedures, to perform stroke interventions such as removing a clot from the brain.

“An aging baby boomer population is driving demand for new, innovative technologies to treat endovascular disease such as strokes,” added Dr. Adel. “Ascension St. Mary’s Hospital is the northernmost comprehensive stroke center in Michigan, with dedicated resources, staff and training necessary for the treatment of the most complex stroke cases. Robotic-assisted intervention is the future for advanced stroke care. The ability for Ascension St. Mary’s to be on the forefront of these medical advancements emphasizes our continuous commitment to delivering the most advanced care for our patients and the communities we are privileged to serve.”

The robotic-assisted technology was funded by Ascension St. Mary’s Hospital Foundation.

Ascension St. Mary's Welcomes New Breast Surgeon Ascension St. Mary’s is pleased to introduce Christopher A. Garces, MD, breast surgical oncologist. He joined Ascension Medical Group on August 1, 2022, and will support the Ascension Michigan Northern health ministries including Ascension St. Mary’s Hospital, Ascension St. Joseph Hospital and Ascension Standish Hospital.

20 The Bulletin | Summer 2022

Dr. Garces completed both his breast surgical oncology research fellowship and general surgery residency at the University of Florida in Gainesville. He received his medical degree from the University of Wisconsin Medical School in Madison, Wisconsin.

Dr. Garces, while at the University of Florida, researched a possible novel molecular therapeutic to target breast cancer.

His extensive background in research and education will be an asset to the management of patients with benign and malignant breast diseases.

Dr. Garces served as Chief of Surgery and Director of Breast Health Services at his prior institution. He has published widely in the field of breast oncology, is a member of the American Society of Breast Surgeons and a Fellow of the American College of Surgeons.

In addition to breast care and breast surgical oncology, Dr. Garces will also treat malignant melanoma.

Dr. Garces will be located at Ascension Medical Group Breast Care Center, 4599 Towne Centre Road, 2nd floor, Saginaw, MI 48604. For more information or to make a referral, please call (989) 497-3226 Physicians Recognized with Excellence in Medicine Awards Ascension Medical Group recently honored three physicians with Excellence in Medicine awards Joseph G. Adel, MD - Cerebrovascular, Endovascular and Skull Base Neurosurgeon Dr. Adel leads the Comprehensive Stroke Program at Ascension St. Mary’s and was recognized for always striving to advance neurosciences. He is a patient advocate and very engaged in process improvement to make patient care better. He is known for excellent communication with patients and their families in a way they can understand often complex medical issues.

Ruth M. Licht, DO - Family Medicine Dr. Licht is a family medicine physician and was recognized for going above and beyond for her patients and making each patient feel important.

She provides high quality care and takes time to listen. She is always kind and courteous to her staff and never turns a patient away even if her schedule is full.

Brodi K. Lynch, MD - Family Medicine Dr. Lynch is dedicated to her patients. She takes great pride in providing compassionate care and takes time to listen to her patients.

During the pandemic, she worked tirelessly, especially in setting up mass COVID-19 vaccination clinics in Standish. Dr. Lynch is admired and respected by associates, patients and the greater community.

Congratulations, Drs. Adel, Licht and Lynch!

MSMS Resource Guide For information on the topics listed here, dial 517/336-plus the four digit extension (unless full number is provided).

For information on a topic not listed here, call MSMS at 517/337-1351 or 800/352-1351.

YOUR ACCOUNT SPECIALIST

Heather Foster

517-336-5719 hlfoster@msms.org

EDUCATION

Rebecca Blake

517-336-5729 rblake@msms.org HUMAN RESOURCES

Jodi Schafer, SPHR, SHRM-SCP 517-336-5716 msms.org/HR

INSURANCE/ MEDICAL, DENTAL, VISION

Diane Wheelock

517-336-7591 dwheelock@msms.org INSURANCE/LIABILITY

Julie Ozbun

517-899-1457 jozbun@msms.org LEGISLATIVE ADVOCACY

Josiah Kissling

517-336-5737 jkissling@msms.org MEDICAL/ REGULATORY POLICY

Stacey Hettiger

517-336-5766 shettiger@msms.org PHYSICIAN WELLNESS/ SAFEHAVEN™

Kevin McFatridge

517-336-5745 kmcfatridge@msms.org REIMBURSEMENT ADVOCACY

Stacie Saylor

517-336-5722 ssaylor@msms.org

Alliance........................................................ 313/408-1359 AMA Delegation..........................................................5731 Annual Scientific Meeting .......................................5789 Antitrust Issues. ...........................................................5766 Board of Directors ......................................................5735 Chief Executive Officer .............................................5735 Closing a Practice .......................................................5766 Coding & Billing Questions .....................................5722 Continuing Medical Education ..............................7580 • Accreditation .............................................................7580 Contracting Checklists..............................................5766 Committees ..................................................................5711 Corporate Compliance .............................................5766 County Medical Societies ........................................5729 Durable Power of Attorney (to order forms).....5727 E & M Coding................................................................5722 Educational Programs...............................................5723 Employed Physicians.................................................5716 Government Relations..............................................5737 Grassroots Action Center / Engage ......................5745 Grassroots Political Action ......................................5788 Group Practice Resources........................................5716 Health Care Law ..........................................................5766 Health Information Technology ............................5770 House of Delegates....................................................5723 Human Resource ........................................................5730 Immunizations ............................................................5770 Information Systems .................................................7604 Insurance – Medical, Dental, Vision, Liability......... 877/742-2758 International Medical Graduate Section ............5723 Legislative Advocacy – Federal & State ..................5737 Managed Care Contracting ....................................5766 Media Relations...........................................................5745 Medicaid & Medicare • Legislation/Funding ................................................5737 • Reimbursement ........................................................5722 Medical Education .....................................................5729 Medical Ethic ................................................................5789 Medical Records Release .........................................5766 Medical Student Section..........................................5723 Medigram ......................................................................5753 Meeting Registration ................................................5789 Membership • Account Specialists..................................................5716 • Applications ...............................................................5716 • Change of Address ..................................................5716

• Dues Processing .......................................................5716 • Retired/Life Benefits................................................5716 Michigan Doctors’ PAC..............................................5737 Michigan Medicine® • Advertising .................................................................5753 • Editor ............................................................................5753 • MSMS Publication Subscriptions........................5753 MSMS Foundation ......................................................5723 Organized Medical Staff Section...........................5723 Patient Centered Medical Home ...........................5770 Physician Organization and Group Relations...5745 Practice Solutions .......................................................5753 POs and PHOs (Management) ...............................5745 Professional Liability Insurance .......... 517/899-1457 Public Relations ...........................................................5745 Reimbursement Advocate ......................................5722 Resident and Fellow Section ..................................5723 Risk Management (The Doctors Company) ........................ 517/899-1457 Starting a Practice ......................................................5766 Third-Party Payer Issues ...........................................5722 Travel Programs ..........................................................5735 Website ..........................................................................5745 Workers’ Compensation ...........................................5722 Young Physician Section..........................................5723

MSMS SUBSIDIARIES & AFFILIATES MSMS Physicians Insurance Agency .. 877/742-2758 Physician Review Organization .......... 517/336-1400 MSMS Physician Services Inc. (PSI) .... 517/336-5745 Prof. Credential Verification Service.. 517/336-1400 Quantum Medical Concepts................ 517/336-5745

ADDITIONAL IMPORTANT NUMBERS American Medical Association ........... 800/262-3211 American Osteopathic Association... 312/202-8000 Drug Enforcement Agency .................. 202/307-1000 Medicaid Provider Inquiry, Medicare Customer Service ................. 800/292-2550 MI Board of Medicine ............................ 517/335-0918 MI Board of Osteopathic Medicine and Surgery ............................................... 517/335-0918 MI Department of Health and Human Services • Local........................................................... 517/373-3740 • Toll free..................................................... 800/292-2550 MI Health Prof. Recovery Corp ............ 800/453-3784

Michigan State Medical Society PO Box 950 East Lansing, MI 48826 | Membership Fax Line: 517-481-3976 Please email or call if you have any member benefit questions!

Member Exclusive: Popular Medical Records Guide Updated Do you or your practice administrators have questions regarding the ins and outs of medical records? For example, who owns the medical records? How long must we retain medical records in our practice? What is the appropriate process for charging fees for copying and preparing medical records for a patient?

As part of the MSMS member exclusive Health Law Library you have access to the Medical Records Guide and so much more. This is a useful tool for all Michigan physicians. Bringing this piece to life digitally allows for MSMS member physicians to access this information 24/7.

Materials such as the Medical Records Guide are available to MSMS members to download free of charge. MSMS nonmembers and others will be required to pay an applicable fee. To join MSMS, please visit MSMS.org/JOIN. Please visit MSMS.org/Resources to find a variety of valuable resources available to physicians and their practice. Should you have any questions about the materials provided, please contact Stacey Hettiger or 517-336-5766.

in effect since October 2020, physicians should further review and modify their policies and protocols where necessary to comply with provisions under the federal No Surprises Act, most of which took effect beginning January 1, 2022. Physicians should also continue to monitor for updates or changes to available guidance and any model forms.

This Guide provides an overview of the Michigan and federal surprise medical billing laws and regulations as they apply to physicians and other providers in the form of frequently asked questions. A summary of the Michigan’s surprise medical billing laws and regulations is provided in Appendix I. A summary of the federal surprise billing laws and regulations is provided in Appendix II. Available model forms are also provided in appendices to this Guide. Click HERE to log in and view the Surprise Medical Billing Guide.

157th Annual Scientific Meeting

$26.74 $1.34 $.67

Calendar Year 2022 Initial Fee (333.26269(1)(a)) Per page for the first 20 pages (333.26269(1)(b)(i)) Per page for pages 21-50 (333.26269(1)(b)(ii))

September 22; October 13; October 19-21; and November 17 Registration is now open to physicians of all specialties, residents, students, nurses, and other health care professionals for the MSMS Foundation’s 157th Annual Scientific Meeting (ASM). This six-day conference will be held over three months with virtual and live on-site options at the Westin Southfield Hotel. The 2022 course topics include trauma-informed care; implicit bias; dermatology; endocrinology; cardiology; rheumatology; colon and rectal surgery; allergy, asthma, and immunology; and microscopy, for a total of up to 28 AMA PRA Category 1 Credits™.

$.27

Per page for pages 51+ (333.26269(1)(b)(iii))

September’s course highlights are below.

MDHHS 2022 MEDICAL RECORDS ACCESS ACT FEES (In Accordance with the Consumer Price Index)

NOTE: A ‘patient,’ as defined by this rule, shall not be charged the initial fee for the patient’s own medical record. However, a patient can be charged the other permitted fees (e.g., the per page fees).

Surprise Medical Billing Guide for Physicians In 2020, the Michigan legislature and United States Congress each enacted laws to regulate unexpected or “surprise” medical bills that a patient receives after receiving health care services from an out -of -network or nonparticipating provider. Last year, Michigan and federal agencies issued administrative rules and guidance to further implement the legislation, including with respect to fee limitations, transparency, and options for dispute resolution between providers and payors.

Although most physicians and other providers have already modified their policies and protocols to comply with Michigan’s surprise medical billing legislation, which has been 22

The Bulletin | Summer 2022

Thursday, September 22 (Live Virtual via Zoom), 3-6 p.m.

Trauma-informed Care for All: Universal Precautions for You and Your Patients Approved for 3 AMA PRA Category 1 Credits™ More than half of people living in the United States have experienced physical or sexual assault, and more than 1 in 4 women and 1 in 13 men experience childhood sexual abuse. Given the high prevalence of assault, abuse, and other forms of trauma, the American College of Obstetricians and Gynecologists (ACOG) and United States Preventive Services Task Force (USPSTF) recommend universal screening for current and past trauma. Studies indicate that a minority of clinicians screen patients for trauma despite these recommendations for universal screening, the high prevalence of trauma, and screening’s unequivocal standing as a best practice. continued on page 23

continued from page 22

This course aims to reduce healthcare-related trauma and the reactivation of prior trauma, by the practice of trauma-informed care. Lauren Owens, MD, MPH, Michigan Medicine, and her colleagues will present on the practice of trauma-informed care and its tenets to guide the clinician to realize the immense burden and impact of trauma, recognize signs of trauma and respond adequately, and resist further traumatization.

Speakers: Lisa Kane Low, PhD, CNM, FACNM, FAAN; and Katie Mehari, MD Trauma’s Prevalence and Health Impacts: From ACEs to your Examination Room Courtney Burns, BS; and Dr. Owens Trauma-Informed Care for Patients And Clinicians: Approaches to Interviews and Interactions Stephanie Terrell, BS; and Dr. Owens A Trauma-Informed Approach to Physical Examinations For the complete fall calendar of events and to register, click HERE. MSMS Grand Rounds is our monthly webinar series that covers a wide range of pressing topics for physicians and their practice.

Grand Rounds is free to members and is available to view live or watch the recording at your convenience.

Grand Rounds Fall Webinar Series **Monkeypox (MPV) Update - New Wednesday, August 17, 2022, 12-1 p.m. ET Approved for 1 AMA PRA Category 1 Credits™ Monkeypox (MPV) is spreading across the country and currently there are more than 35 cases in Michigan.

On Wednesday, August 17, members of the Michigan Department of Health and Human Services MPV team will provide an update on the status of MPV in Michigan including an overview, strategy, epidemiology, labs and clinical data.

Other presentations in the series include: **Reproductive Health - New Wednesday, September 7, 2022, 12-1 p.m. ET Approved for 1 AMA PRA Category 1 Credits™ *Vaccine Recommendation for Patients who are Immunocompromised Part 1 Wednesday, September 15, 2022, 12-12:45 p.m. ET Approved for .75 AMA PRA Category 1 Credits™ **Post-Exertional Malaise - New Wednesday, September 28, 2022, 12-1 p.m. ET Approved for 1 AMA PRA Category 1 Credits™

*Vaccine Recommendation for Patients who are Immunocompromised Part 2 Wednesday, October 5, 2022, 12-12:45 p.m. ET Approved for .75 AMA PRA Category 1 Credits™ *The Gravity of Licensing Disciplinary Actions Wednesday, November 9, 2022, 12-12:45 p.m. ET Approved for .75 AMA PRA Category 1 Credits™ *MDHHS Year in Review from Natasha Bagdasarian, MD Wednesday, December 14, 2022, 12-12:45 p.m. ET Approved for .75 AMA PRA Category 1 Credits™ For more information and to register, click HERE.

Online Learning Management System The new Learning Management System is now live for the entire catalog of archived webinars. This internet-based program allows members to more easily access educational offerings and track their completed CME activities.

It uses the same log in credentials as the MSMS website and can be accessed through msms.org/LMS. One important feature to highlight is all of your completed CME certificates from here forward are tracked in your user profile to be viewed, downloaded or printed at your convenience.

Healthcare Marketing &

Put creativity to work for your practice!

Helping practices create and design a wide range of professional visual materials for healthcare marketing initiatives LOGOS & BRAND ASSETS | PRINT MATERIALS FORMS/PATIENT FOLDERS | PRESENTATIONS TRADESHOW & PROMOTION MATERIALS DIGITAL AD GRAPHICS | WEBSITE DESIGN

Proud to be the Designer for the Saginaw County Medical Society Lori Krygier | Graphic Designer 989.239.1056 | lkrygier@charter.net lorikrygier.com

The Bulletin | Summer 2022 23

Invitation to Participate in Leadership Development Series CMU College of Medicine Office of Faculty Development would like to invite you to the second workshop in the Leadership Development Series. The first workshop in midJune featured Stephanie J. Duggan, MD, regional president and CEO of Ascension Michigan’s Northern Ministries. Topics covered included navigating a health system through the challenging COVID-19 pandemic while continuing to make a very positive impact on our community, and insight on her leadership style and philosophy.

Mark your calendar for Friday, October 21, 2022, from 1-2 p.m.

Our next workshop will feature Beth Charlton, BSN RN, MHA, President and CEO of Covenant HealthCare.

When it's time, join your Webex meeting here.

Join by meeting number Meeting number (access code): 2623 034 1850 Meeting password: iqAm8Ym2hT2 For more ways to join, contact: Nicole Wright, MBA, Coordinator, Training & Professional Development, College of Medicine P: 989-774-7862 | E: nicole.wright@cmich.edu

Medical Student Receives Two Prestigious Fellowships for T-Cell Research A combination of intense grief and a driving desire to understand how and why diseases occur led a first-year CMU College of Medicine student down a path of research now supported by two distinguished fellowship awards.

The Alpha Omega Alpha (AΩA) national medical honor society and the American Society of Hematology (ASH) have each recognized Alexander Dils ’25 and his research investigating how T cells partake in inflammatory and pathophysiological processes. A 2022 AΩA Carolyn L. Kuckein Student Research Fellowship and an ASH HONORS (Hematology Opportunities for the Next Generation of Research Scientists) Award will provide financial assistance for Dils’ summer research at the University of Michigan with Shannon Carty, MD, University of Michigan Assistant Professor of Internal Medicine. The Carty Lab’s research focuses on the role of protein regulators in normal and malignant T cells.

As a teenager, Dils planned to attend a college in his hometown of Saginaw, study chemistry and work as a

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The Bulletin | Summer 2022

researcher in the business sector. However, at the end of his senior year of high school, a diagnosis of T cell acute lymphoblastic leukemia/lymphoma changed the course of his education and his life.

Dils attended the University of Michigan where he could receive medical treatment and attend classes. When a fellow student, cancer patient and close friend passed away without a bone marrow transplant match, Dils says the grief galvanized him. “Passively waiting for others to make discoveries while patients died from resistant hematologic neoplasms was not an option,” Dils wrote in his ASH HONORS fellowship application.

As an undergrad, Dils studied graft-versus-host disease with his mentor, Ivan Maillard, MD, PhD, a hematopoietic stem cell transplant physician-scientist. Dils credits Maillard, now at the University of Pennsylvania, for encouraging him to shadow physicians for a better understanding of how research translates to bedside care and to explore his growing interest in medical school.

The CMU College of Medicine was well known to Dils because his brother, Anthony Dils ’20, now an internal medicine resident, graduated from the College of Medicine two years ago. The College’s mission aligned with Dils’ personal and professional goals.

After graduation from medical school and residency, Dils hopes to work at an academic medical center. “I’m accustomed to being in the bed. That experience combined with knowing the direct impact of research on care motivates me to become a compassionate physician-scientist.”

Note from the SCMS: Alex was a top-three winner in the SCMS Foundation’s annual Essay Contest, “Why I Want to Be a Physician in Saginaw County” in 2014. Alex submitted his essay just months prior to his diagnosis. The SCMS and SCMS Foundation applaud Alex for the path he has taken to help others based on his own diagnosis, treatment and recovery, and wish him well!

Record Number of Students and Residents Take Part in Research Symposium SCMS Foundation funds awards for Symposium winners again this year More than 100 students, residents and faculty submitted proposals for the eighth annual CMU College of Medicine and CMU Medical Education Partners Research Symposium. A group of 70 judges, including students and faculty, chose 10 projects for presentation at the April 29, 2022, virtual event.

The Symposium provides feedback from faculty and peers and prepares the students to present regionally and nationally,” said S. Sethu K. Reddy, MD, Senior Associate Dean of Research continued on page 25

continued from page 24

at CMU College of Medicine. “This recognition will help them further their medical careers post-graduation.”

More than 130 students, residents, faculty, community faculty, plus several external guests, participated in the Friday afternoon Symposium. Research topics included assessment of neuronal communication, workplace violence in the emergency department, and several COVID-19 related presentations.

This year’s guest speaker, Michael J. Conway, PhD, CMU Associate Professor of Microbiology, spoke about his research into emerging infectious diseases. Conway is part of a large network of scientists who monitor SARS-CoV-2 trends in wastewater and report the data to the Michigan Department of Health and Human Services. The state uses the data to inform public health decisions.

The winning presentations were: First place: Mansi Prakash, PhD, CMU postdoctoral fellow working with Ute Hochgeschwender, MD, CMU Professor of Neuroscience - Interluminescence: Selective Control of Synaptically Connected Circuit Elements by All-Optical Synapses and its Applications.

Second place: Andrew Namespetra, MD, resident in CMU Medical Education Partners’ Emergency Medicine Program working with Derek J. Schaller, MD, Assistant Program Director of the CMU Medical Education Partners Emergency Medicine Program - Combatting Violence in the Emergency Department: A Quality Improvement Project.

Third place: Soundharya Subramaniam, CMU medical student, working with Adeeba S. Khan, MD, CMU Assistant Professor of Pediatrics, and Beth Bailey, PhD, CMU Professor of Psychology and Director of Health Services Research - Impact of In-utero Opioid Exposure on Social-emotional Development Over Time.

CMU Medical Education Partners Celebrates 52nd Residency Graduation Author: Emily Landry Forty-one physicians completed their residencies and earned their medical licenses this year. CMU Medical Education Partners, in partnership with Central Michigan University College of Medicine, Covenant HealthCare and Ascension St. Mary’s Hospital, celebrated its 52nd graduating class of resident and fellow physicians during a June 10, 2022, ceremony at Horizons Conference Center in Saginaw. The resident physicians and fellows spend several years in medical training while serving the local patient population at several CMU Health clinics, Covenant HealthCare, and Ascension St. Mary’s Hospital.

“The years of residency are to teach physicians specifics about the specialty in which they’re going to practice and, more importantly, to teach how to approach patient care and the ever-changing healthcare system,” said Mary Jo Wagner, MD, Chief Academic Officer and Designated Institutional Official of the resident training programs in Saginaw. “These graduates have been a significant part of the growth of CMU Medical Education Partners”.

The graduating residents received their certificates of completion from Central Michigan University College of Medicine, the medical school affiliated with CMU Medical Education Partners. With their residencies completed, eight will continue their education in fellowships in a medical specialty while 30 will begin working full time as physicians, with 17 staying in Michigan and 15 in Mid-Michigan.

Congratulations, Doctors!

Congratulations to all the winners!

All statements or comments in The Bulletin are those of the writer, and not necessarily the opinion of the Saginaw County Medical Society.

NOTICE OF RETIREMENT

We wish the following members who have retired the very best in health and happiness as they enter the next chapter of their lives!

Robert L. Borenitsch, DO (7/1/22) Records are at Saginaw Valley Family Care (989)-793-4250 Hearing Aid records are being housed at Bieri Hearing (989)-391-3280 Robert M. McNier, MD (4/29/22) Records are at Ascension Medical Group Valley Gastroenterology (989)-791-9133 Deborah L. Russell, MD (7/1/22) Records are with Tiffany K. Kim, MD who assumed Dr. Russell’s practice The Bulletin | Summer 2022 25

Covenant Invests in Ventilator Technology that Works with the Body, Enhancing Lung Protection for Neonates and Children The Covenant HealthCare Respiratory Therapy Team recently received a shipment of 10 brand new, highly sophisticated ventilators for the region’s smallest patients.

These ventilators are the next generation of lifesaving respiratory care for the 55-bed Covenant Regional Neonatal Intensive Care Unit (RNICU) and the Covenant Pediatric Intensive Care Unit (PICU) in Saginaw. Covenant is the largest provider of critical care services to children and neonates from across the northern Michigan region; these ventilators will impact thousands of lives.

The Covenant RNICU and PICU teams have robust quality teams that have extensively reviewed the latest in ventilator options. The ventilators selected were chosen based on the unique methods they offer, including their ability to provide Heliox therapy to pediatric patients.

One of their most important functions is NAVA, or Neurally Adjusted Ventilatory Assist. This advanced technology assesses patient’s diaphragm activity (Edi) to personalize their ventilation. The ventilator uses a special line that syncs with the signal their brain sends to their diaphragm to take a breath.

Instead of their body fighting with the ventilator, the ventilator works with it. In the RNICU specifically, clinicians use NAVA to allow our tiniest patients to control their own breathing while on mechanical ventilation. This helps reduce barotrauma (lung injury from air pressure), helps promote successful ventilator weaning, and shortens the time someone is on mechanical ventilations by almost 35 percent.

While primarily used for neonates and children, this equipment has the capabilities to support adult patients when high demand occurs, such as during the height of the COVID-19 pandemic.

TCU Move to New Transitional Care Center Complete All Covenant TCU patients were safely moved to the new Covenant Wellspring Transitional Care Community (TCC) late last month.

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The Bulletin | Summer 2022

The Covenant Transitional Care Unit at Michigan Campus (M 2Main TCU) is now closed - please do not discharge patients to this location. All patient care for the Covenant Wellspring TCC is now operational at 5939 Shattuck Road, Saginaw, MI 48603.

The new contact information for transitional care patient discharges to TCC are as follows: MAIN PHONE: 989.899.7171 MAIN FAX: 989.401.1357 ADMISSIONS LINE: 989.899.7172 ADMISSIONS FAX: 989.401.0723 MAIN ADDRESS: 5939 Shattuck Road, Saginaw, MI 48603

Dr. Tamar Jeffery Joins Covenant Medical Group MedExpress Covenant HealthCare welcomes Tamar V. Jeffery, MD, as a member of the Covenant Medical Group joining the Covenant MedExpress team providing urgent care services to the community. For more information on Covenant MedExpress locations, visit www. covenantmedexpress.com Reminder that the five Covenant MedExpress locations have updated hours: Monday – Saturday: 8 AM – 7:30 PM Sunday: 9 AM – 5:30 PM Holidays: 9 AM – 2:30 PM (Closed Christmas Day)

Welcome New Learners!

At Covenant HealthCare, we take pride in being an extraordinary teaching hospital. Please join us in welcoming the newest cohort of medical students and residents to Saginaw!

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WE LEAD IN HEALING CHRONIC WOUNDS What is Hyperbaric Oxygen Therapy?

Hyperbaric Oxygen Therapy (HBOT) is the administration of 100% oxygen in a pressurized environment. Diffusing oxygen throughout the body promotes angiogenesis, allowing a chronic wound to get the nutrient and oxygen rich blood it needs to heal. Specialized wound care, including HBOT, is often necessary for optimal treatment of chronic wounds.

HBOT is an effective adjunctive therapy used in conjunction with advanced wound care. Along with proper attention to nutrition and other underlying medical problems, we achieve greater healing results. HBOT is a proven treatment for: • Chronic Refractory Osteomyelitis • Lower Extremity Diabetic Ulcers • Radiation Cystitis/Proctitis or Radiation Necrosis

David Gustavison, DO Medical Director

Covenant Wound Healing Center “There are approximately 6.5 million patients in the U.S. suffering from chronic wounds (e.g. diabetic foot ulcers and pressure ulcers) and approximately 140,000 patients are hospitalized every year with new wounds. Currently, over 23 million people have been diagnosed with diabetes.”* Covenant Wound Healing & Hyperbaric Medicine Center has a team of experts trained to evaluate your patient’s wound and develop a treatment plan.

Using the most advanced technology and research, our wound care team can work with you and your patients to heal wounds quickly.

Anthony de Bari, MD, CWSP

Scott Byron, DPM, FAAPSM

Mark Bullock, DPM

Khalid Malik, MD

*https://WWW.NCBI.NLM.NIH.GOV, article PMC6161627 • © 2021 Covenant HealthCare. All rights reserved. PK 5/21 13958

ONLY ACCREDITION IN MICHIGAN; SECOND IN THE U.S. COVENANT WOUND HEALING & HYPERBARIC MEDICINE CENTER 900 Cooper, Saginaw, Michigan 989.583.4401 • covenanthealthcare.com

The Bulletin | Summer 2022 27

Groundbreaking App to Improve Birth Outcomes Launched in the Great Lakes Bay Region

By Courtney Soule

Covenant HealthCare and THRIVE Launch Stillbirth Prevention Campaign in the Region with Michigan’s First Count the Kicks® Campaign An innovative and simple tool for monitoring babies in the third trimester of pregnancy is coming to the region with a track record of reducing stillbirths by more than 30 percent. Covenant HealthCare and THRIVE (Transforming Health Regionally in a Vibrant Economy), an effort of the Michigan Health Improvement Alliance, Inc., have announced they are partnering with Count the Kicks®, an evidence-based stillbirth prevention public health campaign to educate and empower expectant parents in the region about the importance of tracking fetal movement in the third trimester of pregnancy.

Count the Kicks® provides access to a groundbreaking app for mothers who are expecting to monitor their baby’s wellbeing during the third trimester. Recent research shows the effect of COVID-19 on pregnancies and an increase in poorer birth outcomes, making it an especially important time for expectant women to track their baby’s movements. By doing so, expectant mothers will have the peace of mind to know when something has possibly changed with their baby’s health. The program currently operates in 15 other states across the nation and has shown dramatic results.

Thanks to the partnership, maternal health providers, birthing hospitals, social services agencies, childbirth educators and other providers in Michigan can order free Count the Kicks® educational materials to help them have the kick counting conversation with expectant parents.

“We are proud to lend support to this important initiative,” said Beth Charlton, President and CEO of Covenant HealthCare. “As a regional medical destination for highrisk pregnancies and neonatal intensive care, we know the impact early prenatal care and interventions have on health outcomes. We believe that every expectant mother should have access to health information that can help them and their baby.”

Through this effort, the region is the first community in Michigan to offer the Count the Kicks® initiative. Count the Kicks® takes an innovative approach to preventing stillbirths and will equip local OBGYN and family practice doctors, nurse practitioners and midwives, social service agencies and related community organizations in the region with educational materials and training.

Nationally, 23,500 babies are born still each year, and Michigan’s average is 622 stillbirths annually. Count the Kicks® focuses on stillbirth prevention by giving expectant parents an early warning system to monitor their babies’ movement.

In Iowa, where Count the Kicks® began, the state’s stillbirth rate went down nearly 32 percent in the first 10 years of the campaign (2008-2018) while rates in the rest of the country remained relatively stagnant.

“We are thrilled to be partnering with Covenant HealthCare in this important effort and for the opportunity to help families reach healthy births through a data-driven, evidence-based and easy-to-use platform. These are innovative tools that will help support prenatal and maternal health in our region,” said Jameca Patrick-Singleton, MSW, Executive Director of Community Impact and Strategic Partnerships for MiHIA. “This work enhances our efforts to advance infant, child and maternal health in the region, and will have a lasting impact for families for generations to come.”

Count the Kicks® is an evidence-based prevention campaign that gives expectant mothers guidance to observe and track the activity of their unborn child during the third trimester. The app provides mothers with the confidence and information to seek medical intervention if they notice or feel that something is not right with their pregnancy. In addition to reducing stillbirths, 84 percent of Count the Kicks® app users who count daily report that this method helped with bonding during pregnancy and 77 percent reported that this method helps reduce anxiety. Count the Kicks® also has a free app available in the iOS and Google Play app stores that provides expectant moms a simple, non-invasive way to monitor their baby’s well-being every day. The Count the Kicks® app is available in 14 languages, including English and Spanish, and its features include a kick-counting history, daily reminders and the ability to count for single babies and twins.

More information can be found at www.countthekicks.org.

THANK YOU, ADVERTISERS!

The SCMS would like to thank our dedicated advertisers. When you have a need for a service, please consider our advertisers first!

All Seasons Skin and Surgery Center Andersen Eye Associates Ascension St. Mary’s Hospital Barb Smith Suicide Resource & Response Network

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The Bulletin | Summer 2022

Covenant HealthCare Covenant Wound Healing Center Jan Hauck – Century 21 Healthway Compounding Pharmacy Lori Krygier Graphic Designer

Melissa Morse – Bricks Real Estate Shields Chiropractic Wellspring Lutheran Services Home Health & Hospice

APPLICATIONS FOR MEMBERSHIP FIRST READING: Applications for membership for first reading at the September 20, 2022, Board Meeting:

Residency: New York Methodist-Cornell University Hospital, General Surgery, 1994-99 Fellowship: University of Massachusetts, Worcester, MA, Surgical Critical Care, 1999-2000 Rikat E. Baroody MD (CMU Health - Surgery) Fellowship: University of Minnesota, Minneapolis, MN, Specialty: Surgery - Trauma, Critical Care - Board Certified 2021 Surgical Research, 2000-01 Medical School: State University of New York (SUNY) Upstate Sponsors: Doctors Chet A. Morrison and Samuel J. Shaheen Medical University, College of Medicine, Syracuse, NY, 2013 Residencies: The Alpert Medical School of Brown University, Christina L. Maser MD (CMU Health-Surgery) Providence, RI, Surgery Preliminary, 2013-14; Lincoln Medical Specialty: Surgery - General - Board Certified 2006; Surgery Center, Bronx, NY, Surgery Categorical, 2014-15; and CAMC – - Endocrine WVU Charleston Division, Charleston, WV, General Surgery, Medical School: Michigan State University College of 2015-19 Human Medicine, 1999 Fellowship: Wright State University, Dayton, OH, Surgery Residency: William Beaumont Hospital, Royal Oak, MI, Critical Care, 2019-20 Surgery, 1999-2005 Fellowship: Yale University School of Medicine, New Haven, Sponsors: Doctors John Blebea and Chet A. Morrison CT, Surgical Endocrinology, 2005-06 Franchesca Garcia Robles MD (CMU Health - Pediatrics) MHA: University of Southern California, Price School of Public Specialty: Pediatrics - Board Certified 2016; Palliative and Policy, Healthcare Administration, 2017-19 Hospital Medicine Sponsors: Doctors Samuel J. Shaheen and Julia M. Walter Medical School: University of Puerto Rico School of Medicine, *Application for Affiliate Member San Juan, PR, 2013 Brianna C. Pitre DC (Shields Chiropractic) Residency: University of Puerto Rico, Pediatrics, 2013-16 Specialty: Chiropractor Research: Research Fellow at San Juan City Hospital-Centro Education: Palmer College of Chiropractic, Davenport, IA, Medico PR, Pediatrics, 2016-18 and Post-Doctoral Master’s in 2021 Clinical and Translational Research, University of Puerto Rico, Sponsors: Doctors Anthony M. Zacharek and Claudia C. 2016-20 Fellowship: Mercy Health, St. Mary’s Hospital, Grand Rapids, MI, Zacharek Hospice and Palliative Medicine, 2018-19 Sponsors: Doctors Anthony M. Zacharek and Claudia C. Zacharek Steven Hermiz MD (Covenant Plastic Surgery) Specialty: Surgery - Plastic, Hand, Reconstructive and Cosmetic, Board Certified 2020 Medical School: Ross University School of Medicine, New Brunswick, NJ and Dominica, West Indies, 2012 Residency: University of South Carolina/Palmetto Health, Columbia, SC, General Surgery, 7/12-6/18 Research Fellowship: University of North Carolina, Chapel Hill, NC between PGY-3 and PGY-4 Academic Year of General Surgery Residency, 7/15-6/16 Fellowship: Medical University of South Carolina, Charleston, SC, Plastic, Reconstructive and Hand Surgery, 7/18-6/21 Sponsors: Doctors Ronald C. Barry and Anthony M. Zacharek Adeeba S. Khan MD (CMU Health - Pediatrics) Specialty: Pediatrics - Board Certified 2011; International Board of Certified Lactation Specialist - Board Certified 2017 Medical School: Sri Venkant Sai Medical College, India, 2006 Residency: Children’s Hospital of Michigan/Detroit Medical Center, Pediatrics, 7/8-8/11 Sponsors: Doctors Christopher J. Allen and Dafina W. Allen Narong Kulvatunyou MD (CMU Health-Surgery) Specialty: Surgery - Acute Care - Board Certified 2002; Surgery General - Board Certified 2001 Medical School: University of Alabama at Birmingham, Birmingham, AL, 1994

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The Bulletin | Summer 2022 29

BIRTHDAYS - SEPTEMBER Waheed Akbar MD Dafina W. Allen MD Sliverberg Aryee Student Carmen Avramut MD Umesh A. Badami MD Leroy C. Barry MD Happy Special Birthday!

Hassan H. Beiz MD Olivia L. Bolen MD Dane A. Brown MD Jacquelyn M. Charbel DO

Radha Cherukuri MD Audrey Coates MD Daniel R. Coffey MD Dushyant Dahiya MD Matthew D. Deibel MD Gregory A. Goshgarian Student Sharanya B. Jayachandran Student Vaishali Kapila Student Ian R. Keck DO Daniel B. Kehres DC Zaira Khalid MD

Palaniandy K. Kogulan MD Swetha Kondaveeti MD John B. Llewelyn MD Mary Jean McKuen MD Michael J. Mishkin DO Mary D. Moore MD Peter C. Morden MD Chet A. Morrison MD Jeffrey D. Osborne MD Arvind R. Patel MD Brian F. Perry MD

Alexandra Rachwitz MD Megan R. Reilly Student Jennifer M. Romeu MD Naman A. Salibi MD Swara M. Sarvepalli Student Rupinder K. Sekhon MD Joseph C. Spadafore MD Renee K. Sundstrom DO Mary Jo Wagner MD James R. Weir MD Lawrence C. Whiting MD

Do You Remember?

Turning back the hands of time - today we revisit 2013. Do you remember?

Clockwise: Drs. Colleen Linehan and Gerry Sieggreen at the January 2013 Membership Meeting Sheebani Talati with parents Rozy and Dr. Sanjay Talati at the May 2013 Meeting Drs. Caroline Scott, Julia Walter, Virginia Dedicatoria, Elvira Dawis and Claudia Zacharek at the October 2013 Meeting Dr. Elvira Dawis and Mom Dawis at the February 2013 Family Event

ADVERTISER INDEX

When you have a need for a service, please consider our dedicated advertisers first!

All Seasons Skin and Surgery Center 7 Andersen Eye Associates 29 Ascension St. Mary’s Hospital 19 Barb Smith Suicide Resource & Response Network 12 Covenant Healthcare 2 30

The Bulletin | Summer 2022

Covenant Wound Healing Center Jan Hauck – Century 21 Healthway Compounding Pharmacy Lori Krygier Graphic Designer

27 27 31 23

Melissa Morse – Bricks Real Estate Shields Chiropractic Wellspring Lutheran Services Home Health & Hospice

13 15 31

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2022 KEY PROVIDERS

These Area Businesses Support Saginaw County Medical Society Membership Meetings. When you have a need for a service, please consider our Key Providers.

CALENDAR OF MEETINGS AND EVENTS FOR 2022-23* REGISTER NOW FOR THE SEPTEMBER MEETING! Tuesday, September 20, 2022 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Membership Meeting Joint with the Saginaw Valley Osteopathic Society - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Speaker - Alison Arnold, Ed.D., Director, Interdisciplinary Center for Community Health & Wellness, Central Michigan University “Revisiting ACEs: The Roots of Wellness and Building Our Inner and Collective Resilience” Approved for 1.5 AMA PRA Category 1 CreditsTM Learning Objectives: • Review the discoveries of the Adverse Childhood Experiences study and the significant life-long health impacts of early trauma and toxic stress • Understand why children exposed to ACEs are at elevated risk for chronic disease and risky behavior • Increase awareness of trauma-responsive practice and the ripple effects of secondary traumatic stress • Develop strategies to respond to children who present with trauma symptoms • Increase awareness of statewide resources, including the Prevention of ACEs Data to Action Project and the Michigan ACEs Initiative Email meeting notices will be sent in early September.

Online reservations are required.

CLICK HERE TO MAKE A RESERVATION Or scan the QR Code

Accreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Central Michigan University College of Medicine and the Saginaw County Medical Society.

CMU College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Central Michigan University College of Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure: The planners and speaker have no relevant financial relationships with ineligible companies to disclose.

Saturday, October 8, 2022 – Horizons Conference Center, 6200 State Street, Saginaw CMU CME presents “Implicit Bias Training” (required for licensure) Time: 8-11 a.m.

3 AMA PRA Category 1 CreditsTM Available Click HERE to register and for more information, disclosures and accreditation (see page10 in this issue for more information).

Tuesday, October 18, 2022 - Horizons Conference Center, 6200 State Street, Saginaw Board Meeting - 5:30 p.m.

Membership Meeting - Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Program - Candidates’ Forum for the November election Email meeting notices will be sent in early October.

Online reservations are required.

Tuesday, November 15, 2022 - CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting - 5:30 p.m.

There is no Membership Meeting in November.

There is no Board or Membership Meeting in December. *subject to change

Joan Cramer/SCMS | Office 790-3590 | Fax 331-6720 | Cell 284-8884 | jmcramer@sbcglobal net | www.SaginawCountyMS.com